45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
●Discounted cash price
●Payer-specific negotiated rates
○Min / max negotiated charges
●Free, public, no login required
Procedures listed
1,537
Insurances with rates
8
CPT / HCPCS codes
1,513
Source MRF
Most expensive procedures (gross)
J3101
$10,355
Tenecteplase For IV Soln Kit 50 MG
Gross
$12,944
J0517
$7,828
Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML
Gross
$9,785
Q5127
$6,616
Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML
Gross
$8,270
J2353
$6,334
Octreotide Acetate For IM Inj Kit 20 MG
Gross
$7,918
J1306
$5,260
Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML
Gross
$6,575
78452
$4,261
NM MYOCARDIAL SPECT MULT STDY
Gross
$5,326
74178
$4,254
CT ABD PELVIS WO THEN W CONT
Gross
$5,317
95811
$4,225
SLEEP STUDY SPLT NGHT 95811
Gross
$5,281
72156
$4,218
MRI C SPINE WO THEN W CONT
Gross
$5,272
70543
$4,122
MRI FACE NECK ORB WO THEN W CONT
Gross
$5,153
27299
$4,119
ED 27299 PELVIS/HIP JT UNLSTD PROC
Gross
$5,149
J0897
$4,098
Denosumab Inj 120 MG/1.7ML
Gross
$5,122
72157
$4,056
MRI T SPINE WO THEN W CONT
Gross
$5,070
72197
$3,957
MRI PELVIS WO THEN W CONT
Gross
$4,946
95810
$3,947
PSG 4+ PARAMETERS
Gross
$4,934
72158
$3,938
MRI L SPINE WO THEN W CONT
Gross
$4,923
73223
$3,819
MRI UPPER EXT JT WO THEN W CONT
Gross
$4,774
27599
$3,813
ED 27599 FEMUR/KNEE UNLISTED PROCEDURE
Gross
$4,766
74183
$3,804
MRI ABDOMEN WO THEN W CONT
Gross
$4,755
J7300
$3,798
CNTRCPT IUD PARAGARD
Gross
$4,748
70553
$3,768
MRI BRAIN WO THEN W CONT
Gross
$4,710
71552
$3,756
MRI CHEST WO THEN W CONT
Gross
$4,695
74174
$3,712
CTA ABD PELVIS W CONTRAST+WO IF PERFORM
Gross
$4,640
70546
$3,671
MRA HEAD WO THEN W CONT
Gross
$4,589
74175
$3,639
CTA ABD WCONT +WO IF PERF
Gross
$4,549
73720
$3,608
MRI LOWER EXT WO THEN W CONT
Gross
$4,510
74177
$3,592
CT ABD PELVIS W CONTRAST
Gross
$4,490
46040
$3,583
ED 46040 I&D PERIRECTAL ABSCESS
Gross
$4,479
73723
$3,582
MRI LOWER EXT JT WO THEN W CONT
Gross
$4,478
73220
$3,565
MRI UPPER EXT WO THEN W CONT
Gross
$4,456
25999
$3,522
ED 25999 FOREARM/WRIST UNLSTD PROC
Gross
$4,402
70549
$3,511
MRA NECK WO THEN W CONT
Gross
$4,389
78451
$3,509
NM MYOCARDIAL SPECT SNGL STDY
Gross
$4,386
59409
$3,371
ED 59409 ED DELIVERY VAGINAL ONLY
Gross
$4,214
59812
$3,349
ED 59812 TX INCOMPLETE ABORTION
Gross
$4,186
74176
$3,254
CT ABD PELVIS WO CONTRAST
Gross
$4,068
36513
$3,226
PLATELETPHERESIS THERAPY
Gross
$4,032
Q5122
$3,217
Pegfilgrastim-apgf Soln Prefilled Syringe 6 MG/0.6ML
Gross
$4,021
J1437
$3,180
Ferric Derisomaltose (One Dose) IV Sol 1000 MG/10ML (Fe Eq)
Gross
$3,975
J1602
$3,177
Golimumab IV Soln 50 MG/4ML
Gross
$3,971
28192
$3,139
ED 28192 REMOVE FB FOOT DEEP
Gross
$3,924
73225
$3,126
MRA UPPER EXT WO THEN W CONT
Gross
$3,908
70471
$3,008
CTA HEAD NECK W CONTRAST AND NONCONTRAST IMG POST PROC
Gross
$3,760
95805
$2,999
MULTIPLE SLEEP LATENCY 95805
Gross
$3,749
70545
$2,994
MRA HEAD W CONTRAST
Gross
$3,742
72148
$2,981
MRI L SPINE WO CONTRAST
Gross
$3,726
70540
$2,893
MRI FACE NECK ORB WO CONTRAST
Gross
$3,616
72141
$2,885
MRI C SPINE WO CONTRAST
Gross
$3,606
74181
$2,850
MRI ABDOMEN WO CONTRAST
Gross
$3,563
70548
$2,823
MRA NECK W CONTRAST
Gross
$3,529
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $12,944 | $10,355 | — | — | 40 |
| J0517 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML | $9,785 | $7,828 | — | — | 40 |
| Q5127 | Pegfilgrastim-fpgk Soln Prefilled Syringe 6 MG/0.6ML | $8,270 | $6,616 | — | — | 40 |
| J2353 | Octreotide Acetate For IM Inj Kit 20 MG | $7,918 | $6,334 | — | — | 40 |
| J1306 | Inclisiran Sodium Subcutaneous Soln Pref Syr 284 MG/1.5ML | $6,575 | $5,260 | — | — | 40 |
| 78452 | NM MYOCARDIAL SPECT MULT STDY | $5,326 | $4,261 | — | — | 40 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $5,317 | $4,254 | — | — | 40 |
| 95811 | SLEEP STUDY SPLT NGHT 95811 | $5,281 | $4,225 | — | — | 40 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,272 | $4,218 | — | — | 40 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $5,153 | $4,122 | — | — | 40 |
| 27299 | ED 27299 PELVIS/HIP JT UNLSTD PROC | $5,149 | $4,119 | — | — | 40 |
| J0897 | Denosumab Inj 120 MG/1.7ML | $5,122 | $4,098 | — | — | 40 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,070 | $4,056 | — | — | 40 |
| 72197 | MRI PELVIS WO THEN W CONT | $4,946 | $3,957 | — | — | 40 |
| 95810 | PSG 4+ PARAMETERS | $4,934 | $3,947 | — | — | 40 |
| 72158 | MRI L SPINE WO THEN W CONT | $4,923 | $3,938 | — | — | 40 |
| 73223 | MRI UPPER EXT JT WO THEN W CONT | $4,774 | $3,819 | — | — | 40 |
| 27599 | ED 27599 FEMUR/KNEE UNLISTED PROCEDURE | $4,766 | $3,813 | — | — | 40 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $4,755 | $3,804 | — | — | 40 |
| J7300 | CNTRCPT IUD PARAGARD | $4,748 | $3,798 | — | — | 40 |
| 70553 | MRI BRAIN WO THEN W CONT | $4,710 | $3,768 | — | — | 40 |
| 71552 | MRI CHEST WO THEN W CONT | $4,695 | $3,756 | — | — | 40 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $4,640 | $3,712 | — | — | 40 |
| 70546 | MRA HEAD WO THEN W CONT | $4,589 | $3,671 | — | — | 40 |
| 74175 | CTA ABD WCONT +WO IF PERF | $4,549 | $3,639 | — | — | 40 |
| 73720 | MRI LOWER EXT WO THEN W CONT | $4,510 | $3,608 | — | — | 40 |
| 74177 | CT ABD PELVIS W CONTRAST | $4,490 | $3,592 | — | — | 40 |
| 46040 | ED 46040 I&D PERIRECTAL ABSCESS | $4,479 | $3,583 | — | — | 40 |
| 73723 | MRI LOWER EXT JT WO THEN W CONT | $4,478 | $3,582 | — | — | 40 |
| 73220 | MRI UPPER EXT WO THEN W CONT | $4,456 | $3,565 | — | — | 40 |
| 25999 | ED 25999 FOREARM/WRIST UNLSTD PROC | $4,402 | $3,522 | — | — | 40 |
| 70549 | MRA NECK WO THEN W CONT | $4,389 | $3,511 | — | — | 40 |
| 78451 | NM MYOCARDIAL SPECT SNGL STDY | $4,386 | $3,509 | — | — | 40 |
| 59409 | ED 59409 ED DELIVERY VAGINAL ONLY | $4,214 | $3,371 | — | — | 40 |
| 59812 | ED 59812 TX INCOMPLETE ABORTION | $4,186 | $3,349 | — | — | 40 |
| 74176 | CT ABD PELVIS WO CONTRAST | $4,068 | $3,254 | — | — | 40 |
| 36513 | PLATELETPHERESIS THERAPY | $4,032 | $3,226 | — | — | 40 |
| Q5122 | Pegfilgrastim-apgf Soln Prefilled Syringe 6 MG/0.6ML | $4,021 | $3,217 | — | — | 40 |
| J1437 | Ferric Derisomaltose (One Dose) IV Sol 1000 MG/10ML (Fe Eq) | $3,975 | $3,180 | — | — | 40 |
| J1602 | Golimumab IV Soln 50 MG/4ML | $3,971 | $3,177 | — | — | 40 |
| 28192 | ED 28192 REMOVE FB FOOT DEEP | $3,924 | $3,139 | — | — | 40 |
| 73225 | MRA UPPER EXT WO THEN W CONT | $3,908 | $3,126 | — | — | 40 |
| 70471 | CTA HEAD NECK W CONTRAST AND NONCONTRAST IMG POST PROC | $3,760 | $3,008 | — | — | 40 |
| 95805 | MULTIPLE SLEEP LATENCY 95805 | $3,749 | $2,999 | — | — | 40 |
| 70545 | MRA HEAD W CONTRAST | $3,742 | $2,994 | — | — | 40 |
| 72148 | MRI L SPINE WO CONTRAST | $3,726 | $2,981 | — | — | 40 |
| 70540 | MRI FACE NECK ORB WO CONTRAST | $3,616 | $2,893 | — | — | 40 |
| 72141 | MRI C SPINE WO CONTRAST | $3,606 | $2,885 | — | — | 40 |
| 74181 | MRI ABDOMEN WO CONTRAST | $3,563 | $2,850 | — | — | 40 |
| 70548 | MRA NECK W CONTRAST | $3,529 | $2,823 | — | — | 40 |
Showing top 50 of 1,537 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.